Individual
MR. NATHAN BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4650 HOEN AVE, SANTA ROSA, CA 95405-9407
(512) 387-9213
Mailing address
1704 GLEN, SPRINGDALE, AR 72762
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9724
CA
225200000X
Physical Therapy Assistant
PTA2465
AR
Other
Enumeration date
10/20/2010
Last updated
01/30/2019
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